HomeMy WebLinkAboutRoof Inspection Affidavit Planning p
ment nervtces
Building&Code Reg la io 'Division .�
0 2300 Virginia Avenue
0 0 Fort Pierce, FL 34982'
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
John F Durham
I, , licensed as a(n)Contractor /Engineer/Architect
(Please print name&circle license type) *FS468 Biuilding Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such)an inspection.
On or about , I did personally inspect the roof deck nailing
(Date) I
work at: 702 Anita St fop- Terms
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent). ! II
CCC 1326757,'
Signature and Seal License
STATE OF FLORIDAGG
COUNTYOF
Sworn to and subscribed before me this day of NOV 20,
by John F Durham . Who is personally known to me or who has produced
4-1 as identification.
Notary Public,State of Florida
- Signature of Notary:
Commission Number: (Seal) ,y,
.o,Pa,',:�o,?- KIM M.GUARINO
En
?* +��:; Notary Public-state of Florida
., commission#FF 900673
o`c M Comm.Expires Jul 16,20.19
,',��;;��;•• 9ond�through Na Ial Notary Assn.
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